Surgical Instruments in Greek and Roman TimesMilne, John Stewart
History
Surgical Instruments in Greek and Roman Times
Milne, John Stewart
Surgery -- History; Surgical instruments and apparatus
Quod si antequam vesica purgata est orae se glutinarunt, dolorque et
inflammatio redierunt, vulnus digitis vel averso specillo diducendum
est (VII. xxvii).
'But, if before the bladder has become cleansed the lips unite and
pain and inflammation have returned, the wound is to be separated with
the fingers or the back of a specillum.'
We shall next proceed to discuss the other end of the ear specillum. This
was a simple probe. It had no nucleus. In his Lexicon Galen defines it
thus:
Ἀπυρομήλῃ· τῇ πυρῆνα μὴ ἐχούσῃ τούτεστι τῇ μηλωτρίδι.
'Probe without olivary enlargement--that is to say "the ear
specillum".'
Not only was its tip not expanded into a nucleus, it was actually sharp.
Galen (xiv. 787) treating of fistula in ano, says in non-perforating
fistulae we perforate all the sound flesh with the sharp end of an ear
probe (τῷ ὀξεῖ τῆς μηλωτίδος). The chief use of an ear probe in aural work
was to instil liquids into the ear. A large ball of wool saturated with
the liquid was wrapped round the middle of the probe, and on squeezing
this the liquid ran down and dropped into the meatus. There are many
mediaeval illustrations showing the ear probe used in this fashion.
Sometimes, however, we read of the tip of the probe being wrapped in a
small ball of wool, which was dipped in some sticky substance to extract
foreign bodies from the ear. Galen (xii. 689) says foreign bodies may be
removed thus by a probe dipped in resin.
The ear probe seems to have been much used for probing wounds and fistulae
when a very slender instrument was required. Galen (ii. 581), in
describing the torcular Herophili, says:
'And in the double passage you may be able to insert some of the
slender instruments you have at hand, a double ended probe--a
'double-olivary' if you prefer to call it so--or if something smaller
be necessary even an ear specillum' (καὶ μηλωτρίδα).
In his chapter on the extraction of weapons (VI. lxxxviii) Paul says:
'If the weapon has a tang, which is ascertained by examination with an
ear probe' (ἐκ τῆς μηλωτῆς).
As a cautery it was used to destroy the roots of hairs, which had been
removed for trichiasis. Paul says:
'We may apply a double olive or an ear probe (μηλωτίδα) or some such
fine instrument heated' (VI. xiii).
In fistula in ano Paul says it may be used as a director to cut upon.
'Having introduced a sound or an ear probe (ὑποβάλλοντες κοπάριον ἢ
μηλωτίδα) through its orifice, we cut the skin over it at one
incision' (VII. lxxviii).
Illustrations of two ear probes are given. What I regard as the type is
seen in Pl. XV, fig. 5, which shows an instrument from the Roman Hospital
at Baden. Typical specimens are not by any means common. Pl. XV, fig. 2
shows another variety from my own collection.
_Screw Probes._
Public-domain text, read in full here on John Shaqi.
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